Alpha Ii Omega | |
259-28 147th Rd Rosedale NY 11422 | |
(347) 400-1812 | |
Not Available |
Full Name | Alpha Ii Omega |
---|---|
Speciality | Behavior Technician |
Location | 259-28 147th Rd, Rosedale, New York |
Authorized Official Name and Position | Doreen E Brathwaite (MANAGER/DIRECTOR) |
Authorized Official Contact | 3474001812 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alpha Ii Omega 259-28 147th Rd Rosedale NY 11422 Ph: (347) 400-1812 | Alpha Ii Omega 259-28 147th Rd Rosedale NY 11422 Ph: (347) 400-1812 |
NPI Number | 1588361588 |
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Provider Enumeration Date | 02/09/2023 |
Last Update Date | 04/11/2023 |
Certification Date | 04/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588361588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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